What Could Causes New Lower Abdominal Pressure And Discomfort With A History Of Frequent Night Time Urination And Elevated PSA Levels?

46 old male/ original complaint to Dr was that i was going to the bathroom 2 times throughout the night. first psa 6.7 second psa 5.8/ digital rectal exam was performed with no abnormalities noted no incontinence / no fever/ urine stream starts and stops with no issues/no blood/ new symptom as of two days ago was pressure in lover abs above penis and some discomfort on left abs and left flank